Tạp chí của Hội Nội tiết & Đái tháo đường Việt Nam
Characteristics of older diabetic out patients at Nghe An Endocrine Hospital
Background: To assess some characteristics of older outpatients with type 2 diabetes mellitus treated at Nghe An Endocrinology Hospital. Subjects and Methods: A cross-sectional study on 416 older diabetic patients treated at Outpatients Department, Nghe An Endocrinology Hospital from October 2022 to April 2023. Results: Among 416 participants, the mean age was 72.8 ± 5.9 years old and 59.4% was female. The proportion of older diabetic outpatients who were overweight and obese accounted for 32%. The average duration of diabetes was 13.1 ± 5.3 (years), of which the proportion of patients with diabetes duration ≥ 10 years accounted for the highest rate of 72.6%. Commonly used diabetes medication were metformin (88.0%); sulfonylurea (65.6%); insulin (53.6%) and DPP4i (49.3%). The average number of diabetes complications of the study subjects was 2.4 ± 0.9, of which peripheral nerve and autonomic nerve complications (71.6%); hypoglycemia (44.5%); eye complications (53.6%) and renal complications (51.9%). The rate of patients with uncontrolled fasting blood sugar was 67.8% and the rate of uncontrolled HbA1c was 70.4%. The average number of comorbidities in the study subjects was 4.0, with a maximum of 7 comorbidities. The Charlson Comorbidity Index was 2.8 ± 0.7. The highest rate of people with dyslipidemia (98.1%), hypertension (97.1%), osteoathriris (91.6%), chronic kidney disease (51.9%). Conclusion: Our study highlighted that the majority of participants had diabetes duration for more than 10 years, the rate of glycemic control not reaching the target and chronic complications was high.
Relationship between chronic multimorbidity and sleep disorders in older diabetic patients at Nghe An Endocrine Hospital
Background: To determine the rate of chronic multimorbidity and its relationship with sleep disorders in older diabetic patients at Nghe An Endocrinology Hospital. Subjects and Methods: A cross-sectional study on 526 older diabetic patients treated at Nghe An Endocrinology Hospital from October 2022 to April 2023. Results: Among 526 participants, the mean age was 72.7 ± 6.5 years old and 57.8% was female. All older diabetic patients had at least one other chronic disease. The rate of having one other chronic disease was 0.6%, the rate of having two other chronic diseases was 4.3%, and the rate of having at least three other chronic diseases was 95.1%. The propotion of patients with sleep disorders was 93.5%. The mean number of chronic diseases in the group with sleep disorders was statistically significantly higher than in the group without sleep disorders (p<0.05). Having ≥ 3 diseases was associated with an increased risk of sleep disorders with OR = 15.2 (p< 0.05). Conclusion: Our study highlighted that all older diabetic patients had at least one other chronic disease. Multimorbidity and sleep disorders were statistically significantly associated.
Research on prediabetes in the elderly patients with certain cardiovascular risk factors
Objectives: determined certain cardiometabolic factors including age, gender, obesity, hypertension, bilan lipid, insulin, insulin resistance. Methods and subjects: A cross-sectional descriptive study on ≥ 60 age was diagnosed with prediabetes and being treated at the Department of General Internal Medicine - Geriatrics, Hue Central Hospital from September 2020 to November 2021. Cases that satisfy the selection criteria were included in the study. Conducted an oral glucose tolerance test: determined blood glucose at 2 time points G0, G2. Tested HbA1c, Bilan lipid, blood insulin concentration, blood creatinine concentration, echocardiography. Data processing using SPSS 16.0 and Medcalc software. Results: Through a study of cardiovascular and metabolic risk factors in 55 elderly prediabetic subjects, it was noted that: The rate of prediabetes increased in the age group 60-69 (47.3%) and ≥ 70 (52.7%). The rate of prediabetes in women was 67.3% higher than that in men (32.7%). The average BMI was 25.0 ± 1.8 kg/ m2, with no difference between the two sexes. The average waist circumference was 90.8 ± 6.9 (cm). The rate of overweight was 65.5%, higher than obesity (34.5%). The rate of increased waist circumference was 81.8%. The rate of hypertension was 49.1%, the average HATT was 137.3 ± 16.4 (mmHg), the average HATTr was 80.4 ± 7.2 (mmHg). There was no difference in blood pressure characteristics between the two sexes. The average Bilan lipid values (mmol/L): TC 5.5 ± 1.5; TG 2.5 ± 2.4; HDL-C 1.2 ± 0.3; LDL-C 3.2 ± 1.3, with no difference between the two sexes. The rate of dyslipidemia was 80%, the rate of combined dyslipidemia and hypertension was 38.2%. The average blood insulin concentration was 26.7 ± 3.2 µU/mL, the average HOMA-IR index value was 6.8 ± 7.7. The rate of hyperinsulinemia was 38.2%; the rate of insulin resistance was 61.8% with no difference between the two sexes. The rate of renal dysfunction according to glomerular filtration rate was 17.3%; cardiac dysfunction (EF < 50%) was 1.8%.
Characteristics of older patients with uncontrolled type 2 diabetes mellitus at National Geriatric Hospital
Objectives: To assess some characteristics of older people with uncontrolled type 2 diabetes mellitus treated at National Geriatric Hospital. Subjects and Methods: A cross- sectional study on 148 older patients with uncontrolled blood glucose (HbA1c ≥ 7%) treated at National Geriatric Hospital from March to October 2023. Results: Among 148 participants, the mean age was 76.0 ± 7.4 years old and 62.2% was female. The greater distribution was generated by people aged >75 years old, with a percentage of 53.4%. Among participants. The majority of participants have hypertension (77.7%) and up to a quarter of participants have dyslipidemia (25.0%). The rate of participants with diabetes diagnosis ≥ 5 years accounted for the majority (84.5%). More than half of the participants had chronic complications (57.4%). The propotions of patients had fasting blood glucose > 8.3 mmol/l and HbA1c level ≥ 8% were 46.6% and 54.7%, respectively. Conclusion: Our research showed that the rate of fasting blood glucose and HbA1c did not reach the treatment target was quite high. For every 2 study subjects, at least one person had at least one chronic complication.
Physical activity levels among older patients with uncontrolled diabetes mellitus
Objectives: To assess PA levels and its associationwithsomegeneralcharacteristics among older people with uncontrolled type 2 diabetes mellitus. Subjects and Methods: A cross-sectional study on 148 older patients with uncontrolled blood glucose (HbA1c ≥ 7%) treated at National Geriatric Hospital from March to October 2023. Physical activity (PA) levels was assessed using the International Physical Activity Questionnaire short form (IPAQ-SF). Results: Among 148 participants, the mean age was 76.0 ± 7.4 years old and 62.2% was female. Prevalence of low, moderate and high PA levels were 64.2%, 29.7% and 6.1%, respectively. Total Metabolic Equivalent of Task (METs) among low PA level (118.0±151.1 MET minutes/week) was lower than that among moderate to high PA levels (2093.3 ± 1570.0 MET minutes/week). Patients aged > 75 years old or with lipid disorder had significantly higher prevalence than those < 75 years old or without lipid disorder (p<0.05). There was no association between gender, living status, educational level, BMI and other comorbidities (hypertension, cerebrovascular disease, osteoarthritis or heart failure). Conclusion: Our research highlighted high porpotion of low PA level among older patients with uncontrolled T2DM. PA levels was associated with advance age and lipid disorder.
Study of clinical and subclinical characteristics in elderly with diabetes
Objectives: Study of clinical and subclinical characteristics in elderly with diabetes treated at General Internal Medicine and Geriatrics Department in Hue Central Hospital. Methods and subjects: The cross-sectional research included 60 diabetic patients over the age of 60 who were being treated at the General Internal Medicine and Geriatrics Department in Hue Central Hospital from 21 March to 22 April 2023. Results: Patients had a mean age of 74,45 ± 9,92 years, the proportion of women 61,7%. The common of medical history were hypertension (85%) and dyslipidemia (45%). Average duration of diabetes was 7,94 ± 6,57 years. The mean BMI was 21,88 ± 3,37kg/m2. Females had 58,3% higher abdominal obesity than males. The rate of HbA1c ≤ 8% was 51,6%, the mean was 8,97 ± 3,03%. The rate of blood glucose between 5 and 8,3 mmol/L was 45%, the mean was 9,16 ± 4 mmol/L. 85% patients has dyslipidemia. Reduced estimated glomerular filtration rate was 73.3%. Conclusion: Manifestation of clinical characteristics in elderly diaber patients was very diverse.
Study of insulin use in elderly with diabetes
Objectives: To evaluate the current status of insulin use in elderly with diabetes treated at General Internal Medicine and Geriatric Department in Hue Central Hospital; and the relationship between the status of current insulin use and age. waist ratio. BMI. ilness time. hypertension. dyslipidemia and estimated glomerular filtration rate. Methods and subjects: The cross-sectional research included 60 diabetic patients over the age of 60 who were being treated at the General Internal Medicine and Geriatrics Department in Hue Central Hospital from 21 March to 22 April 2023. Results: Mean age 74.45 ± 9.92. female: 61.7%. 28.3% of elderly patients use insulin. In the patient group injected insulin. 52.9% of patients use premixed insulin. All insulin users have hypertension and dyslipidemia (p = 0.041). In comparison to the group of patients who only received oral therapy. the insulin-using individuals had lower glomerular filtration rates (59.18 ± 22.18 mL/phút/1.73m2 (p = 0.002)) and higher mean triglycerides (2.22 ± 1.19 mmol/L (p = 0.003)). However. age. BMI and waist circumference are independent factors in insulin use. Conclusion: It pay attention of insulin use in elderly with diabetes.
Association between geriatric syndromes and quality of life in diabetic older patients
Objectives: To evaluate the association between some geriatric syndromes with quality of life in uncontrolled diabetic older patients. Subjects and Methods: A cross- sectional study was conducted on older patients with uncontrolled T2D. Quality of life was assessed using the EQ-5D-5L questionnaire. Polypharmacy, activity daily living dependence, sleep quality, severe or depression, malnutritional status and risk of fall were evaluated in the study. Results: Among 286 people participated in the study, women was accounted for 60.5%, mean age: 69.88 years (SD=6.64). The health-related quality of life was poorer in uncontrolled diabetic patients having polypharmacy, dependence in ADL, IADL, high risk of fall, depression and malnutrition. Conclusion: Many geriatric syndromes associated with lower HRQoL in elderly diabetic patients with uncontrolled T2DM. The role of healthcare workers is critical to manage multifactorial conditions in patients with type 2 diabetes.
Health-related quality of life in older patients with uncontrolled type 2 diabetes mellitus
Aims: To assess the health-related quality of life in older patients with uncontrolled type 2 diabetes. Subjects and Methods: A cross-sectional study was conducted in National Geriatric Hospital (NGH). The patients with uncontrolled T2DM aged 60 years or over were recruited in the study. Quality of life was assessed using the EQ- 5D-5L questionnaire. Results: A total of 286 T2DM patients, the mean age was 69.9 (SD: 6.6) years. The mean score of EQ-5D- 5L and EQ Vas was 0.89± 0.15, 63.90 ± 13.61. The mean quality of life was lower in the participants who were had a history of hypoglycemia, had complications of T2DM and HbA1c ≥ 9.0%. Conclusion: The health-related quality of life was assessed in uncontrolled diabetic older patients, the mean score of EQ-5D-5L was 0.89 ± 0.15. Diabetic complications, history of hypoglycemia and high HbA1c were associated with poorer quality of life.
Associated factors of overweight and obesity among type 2 diabetic outpatients at National Geriatric Hospital
Background: Overweight and weight management affect to the treatment process and control of metabolic parameters and low cardiovascular risks among diabetic patients are very essential. Objectives: To explore the associated factors with overweight and obesity diabetic outpatients in National Geriatric Hospital, Hanoi, Vietnam. Methods: A cross- sectional study conducted on patients aged 18 years old and older diagnosed with diabetic type 2, who were examined and belong to the diabetic insurance social program at the National Geriatric Hospital in 2023. Obesity and overweight classification by body mass index.Associated factors including age, gender, eduational status, marital status, physical activities, number of diseases, duration of diabetes, glycemic control (HbA1c), drinking and smoking. Results: A total 624 participants in this study. There was 289 diabetic patients overweight and obesity with 46.3%. The age group 60-74 years accounted for 62.3% was overweight/obesity. People with equal and more than 5 years diabetes had proportion of overweight/obesity than the group with diabetes < 5 years. In multiple regression logistic, there was 03 significant associated factors including age (OR: 0.98, 0.96-0.99), living in rural area (OR:0.58; 0.37-0.90) and number of diseases (including diabetes) (OR 1.14; 1.01-1.28). Conclusion: The prevalence of overweight/obesity among participant was respectively high. Living in urban area, age and having comorbidities situation are higher risk to get overweight/obesity.
Risk of falls among older patients with overweight and obesity
Objectives: To assess risk of falls among older people with overweight and obesity. Subjects and Methods: A cross-sectional study on 233 older patients with overweight and obesity examined and treated at National Geriatric Hospital from January to May 2023. Risk of fall was assessed using physical tests (Time Up and Go test (TUG) and Short- Physical Performance Battery (SPPB) score) and questionnaires (21-item Fall risk index and Stratify scale). Results: Of the total 233 participants, the proportion of patients with high fall risk according to Time Up and Go test was 67.0%. The proportion of patients with high fall risk according to SPPB was 79.8%. The rate of patients with high fall risk according to Stratify scale was 24.9%. The rate of patients with high fall risk according to Fall risk index 21 item was 32.6%. There was no statistically significant difference in the rate of fall in the last 12 months between the group at risk of falling and the group without risk of falling as assessed by exercise tests (p > 0.05). Conclusion: 1 out of 6 elderly people who are overweight or obese has had a fall in the past 12 months. Our results highlighted that falls are related to advanced age among this population.
Investigate blood uric acid levels in elderly patients with type 2 diabetes at Hue Central Hospital
Objectives: Investigate blood uric acid levels in elderly patients with type 2 diabetes. Methods and subjects: A cross-sectional descriptive study was conducted from February 2023 to May 2023 on 38 elderly type 2 diabetes patients being treated at General Internal Medicine and Geriatric department, Hue Central Hospital. Include in the study the cases satisfying the selection criteria. All the patients were examined and measured blood acid uric levels, fasting plasma glucose, HbA1C, blood lipids, blood creatinine. Data processing using SPSS 20.0 software. Results: The average of blood uric acid level was 388.55 ± 123.99 µmol/L. The percentages of hyperuricemia was 47.4%. The percentages of hyperuricemia in male and female patients was 40.9% and 56.2%, respectively. The duration of disease and fasting plasma glucose have no relation with uric acid levels. There was some relations between the uric acid levels and HbA1C. Conclusion: In elderly type 2 diabetes, hyperuricemia associated with hyperglycemia.
Study on some factors related to blood uric acid levels in elderly type 2 diabetic patients at Hue Central Hospital
Objectives: Study on some factors related to blood uric acid levels in elderly type 2 diabetic patients at General Internal Medicine and Geriatrics Department, Hue Central Hospital. Methods and subjects: A cross- sectional descriptive study was conducted on 38 elderly type 2 diabetes patients being treated at General Internal Medicine and Geriatrics Department, Hue Central Hospital. Include in the study the cases satisfying the selection criteria. All the patients were examined and measured blood acid uric levels, fasting plasma glucose, HbA1C, blood lipids, blood creatinine. Data processing using SPSS 20.0 software. Results: There was a moderate and statistically significant positive correlation between blood uric acid levels and waist circumference, tryglyceride and blood creatinine. There was a moderate and statistically significant negative correlation between blood uric acid levels and eGFR, HDL-C. The correlation between BMI, Cholesterol, LDL-C and blood uric acid levels has not been recorded. The relationship between blood uric acid levels and age group, gender, and hypertension has not been recorded. Conclusions: It should be pay attention on uric acid level in the elderly type 2 diabetes patients.
Activity daily living and instrumental activity living among older patients with overweight and obesity
Objectives: To assess daily activities and their association factors among older people with overweight and obesity. Subjects and Methods: A cross- sectional study on 235 older patients with overweight and obesity examined and treated at National Geriatric Hospital. Daily activities were assessed using Activity Daily Living scale (ADL) and Instrumental Activity Daily Living scale (IADL). Results: The proportion of patients with activity daily living (ADL) impairment and instrumental activity daily living (IADL) impairment was 18.3% and 42.6%, respectively. Advance age and presence of parkinson disease were associated with higher rates of ADL impairment (p<0.05). There was no statistically significant difference between ADL impairment and the levels of overweight, obesity and average BMI (p>0.05). Factors that were independently associated with increased risk of ADL impairment include having Parkinson’s disease (OR = 4.56), having a high risk of falling (OR = 3.00), depression (OR = 3.15) and frailty syndrome (OR = 3.83). Conclusion: Research showed a significant decline in ADL and IADL in overweight and obese older people. In particular, ADL impairment was associated with Parkinson’s disease, high fall risk, depression, and frailty syndrome.
Associated factors with sleep disturbance in post-stroke patients
Background: Stroke is one of the top ten leading causes of death in these countries. We conduct the study with objective to evaluate the association between sleep disturbances and related factors in post-stroke patients. Method: The study is a cross-sectional study and conducted at National Geriatric Hospital in 2021. The sleep disturbance status assessed by The Pittsburgh Sleep Quality Index. Related factors including general information, post-stroke characteristics and geriatric syndromes. The process of data coding, entry into Redcap and analysis was done by using SPSS. Results: In total 138 post-stroke patients, the mean aged of participants was 74.59 years old (SD=8.45). There were 104 participants (75.4%) had poor sleep, while only 34 participants (24.6%) had good sleep. In the multiple logistic regresison, depression was independent factor lead to poor sleep in post-stroke patients with OR=6.91 (95%CI: 2.49-19.23). Conclusions: Depression was related with sleep disturbance in post-stroke patient. It is recommened that should have regular screening both depression and sleep disturbance in post-stroke patients.
Study on the relationship between bone mineral density, fracture risk using the frax model and related factors in elderly diabetic patients at Hue Central Hospital
Objective: To evaluate the relationship between bone mineral density (BMD), fracture risk using the FRAX model and associated factors in elderly diabetic patients at Hue Central Hospital. Methods and subjects: A cross-sectional descriptive study with a control group was conducted on 50 diabetic patients aged 60 years and older who visited Hue Central Hospital from April 2023 to September 2024. Participants were required to meet predefined inclusion criteria. Bone mineral density was measured using the Excellus-Osteosys device. Data were analyzed using SPSS version 20.0. Results: Patients with a disease duration of 5 years or more had a lower mean femoral neck BMD compared to those with a duration of less than 5 years. There was a negative correlation between femcral neele BMD and the duration of diabetes. The 10-year fracture risk was higher in patients with a disease duration of 5 years or more (36.00%) compared to those with a duration of less than 5 years (6.00%). There was a significant correlation between the probability of fracture risk at both hip, major osteoporotic and the duration of diabetes. Conclusions: In elderly diabetic patients, the 10-years fracture rate is higher with longer delay in diagnosis.
The prevalence of metabolic syndrome among Vietnamese adults
Background: The prevalence of metabolic syndrome (MetS) is increasing worldwide with a marked impact in cardiovascular disease (CVD) and diabetes risk. The consequences of MetS are economic and social burdens and a high risk of mortality. Currently, there is no data on the whole country of Vietnam. Therefore, we carry out this study with the following objectives: 1. Determining the prevalence of MetS among Vietnamese people; 2. Investigate some characteristics of MetS on research subjects.Methods: A sample of Vietnamese adults aged 25 years and over, living in 9 province/city of Vietnam was investigated. Blood pressure, weight, height, and WC were measured; HDL – cholesterol (HDL – C), Triglyceride (TG), and plasma glucose were examined. Diagnosis of MetS according to criteria based on Consensus statement of IDF, AHA/NHLBI, WHF, IAS, IASO 2009. Data were processed using Medcalc program 11.0.1. Results: The prevalence of metabolic syndrome (MetS) in the Vietnamese population was 29.8%, women were more affected than men (36.2% versus 22.9%). The incidence of MetS increased with age. The rate of MetS in the obese group was the highest (33.6%), in the overweight group, this rate was 28%, while in the lean group, the rate of MetS was 29.3%.Conclusions: Attention should be paid to the early diagnosis and management of metabolic syndrome in the Vietnamese population
Health-related quality of life and associations with general characteristics among older patients with overweight and obesity
Objectives: To assess health-related quality of life (HRQoL) and associations with general characteristics among older people with overweight and obesity. Subjects and Methods: A cross-sectional study on 220 older patients with overweight and obesity examined and treated at National Geriatric Hospital from January to May 2023. HRQoL were assessed using the EQ–5D– 5L questionnaire. General information and classification of obesity were also collected. Results: Of the total 220 participants, the proportion of patients with difficulties in aspects such as mobility was 57.3%; self- care is 48.6%; usual activities is 55.5%; pain/ discomfort is 65% and anxiety/depression is 49.5%. The results showed that HRQoL in women was significantly lower than in men in terms of pain/discomfort and anxiety/ depression (p<0.05). People living in urban areas have better HRQoL than those living in rural areas in terms of usual activities with p<0.05. People living in rural areas have lower EQ-VAS health self-assessment scores than those living in urban areas, which is statistically significant with p<0.05. Between groups with the different numbers of hospital stays in the past year, there was a significant difference in almost all aspects of HRQoL (p<0.05) except for pain/discomfort. The more hospital stays, the lower the HRQoL, especially the lower the EQ - VAS score (p < 0.001). Conclusion: About 50% of the participants self-rated as having problems with one of the aspects of HRQoL among older patients with overweight and obesity. Our results highlighted that aspects of quality of life EQ - 5D are related to gender, living area, and number of hospitalization in the past year among this population.
Activity daily living and some related factors among older patients with osteoporosis
: To assess activities in daily living and some related factors among older people with osteoporosis examined and treated at National Geriatric Hospital. Subjects and Methods: A cross-sectional study on 141 older patients with osteoporosis examined and treated at National Geriatric Hospital from June to October 2022. Activities in daily living were assessed using Activities of Daily Living (ADL) and Instrument Activities of Daily Living (IADL). General information, characteristics of osteoporosis, and geriatric syndromes were collected. Results: Of the total 141 participants, the proportion of participants with functional impairment in ADLs and IADLs was the same, accounting for 34.8%. There were significant associations between impaired ADL and group aged ≥ 80 with OR=4.5; BMI <18.5 (kg/m2) with OR=9.7; those who had diabetes with OR=2.9. There were significant associations between impaired ADL and geriatric syndromes: frailty syndromes (OR=20.8), low levels of physical activity (OR=10.8), cognitive impairment (OR=6.4), malnutrition (OR=4.5), risk of falls (OR=4.5), depression (OR=4.4), sleep disturbances (OR=2.9) and polypharmacy (OR=2.6). There was no statistically significant difference in the decline in daily functioning and some characteristics of osteoporosis. Conclusion: One in three elderly osteoporosis patients has impaired ADL or IADL. Our results highlighted that advanced age, BMI, diabetes, and geriatric syndrome were significantly associated with ADL in older patients with osteoporosis.
Health-related quality of life in osteoporosis patients
Objective: To assess the health-related quality of life in osteoporosis patients at the National Geriatric Hospital. Method: The study was a cross-sectional descriptive study. A sample of 141 patients with osteoporosis aged from 60 years. Health-related quality of life was collected using the EQ-5D-5L questionnaire. Results: The mean age of the patients was 73.12 ± 8.62 years, and 94.3% were female. The mean EQ-5D-5L total score was 18.30 ± 3.79. Conclusion: The proportion of patients with osteoporosis who have decreased quality of life is still increasing so the quality of life. It needs to be studied throughout the course of the disease, in order to develop counseling, support, and treatment interventions.
Nutritional status in older patient with osteoporosis
Objective: To evaluate of nutritional status of elderly patients with osteoporosis in hospital base. Methods: A cross-sectional study on older patients with osteoporosis, aged 60 years or older who were treated at The National Geriatric Hospital. The Mini Nutritional Assessment – Short Form (MNA- SF) was used to assess the nutritional status of the participants. Results: The average MNA score is 11.26 ± 2.43 near (range 8-11). 64 women were classified as undernourished/ at risk of undernutrition and 4 men were in the same group. Mean T-score of the femoral neck is: -1.51 ± 1.17 and the mean T-score lumbar spine is -3.32 ± 0.70. Conclusion: Overall, the nutritional status was poor in this group of patients. Assessment of nutritional status should be applied as a regular clinical practice for older osteoporosis patients.
Associated factors with nutritional status among older sarcopenic patients
Objectives: To explore some related factors to nutritional status in older people with sarcopenia treated at National Geriatric Hospital. Subjects and Methods: A cross- sectional study on 295 older sarcopenic patients treated at National Geriatric Hospital from June to November 2022. The nutritional status was assessed by the Mini Nutritional Assessment Short Form. Results: Among 295 participants, the rate of malnutrition and risk of malnutrition were 11.2% and 46.8, respectively. The prevalence of malnutrition/ risk of malnutrition in groups with low educational levels, heart failure, or severe sarcopenia was significantly higher than those in groups without high educational levels, heart failure, or severe sarcopenia. Conclusion: Our results highlighted that educational level, heart failure, and sarcopenia classification were significantly associated with nutritional status in older sarcopenic patients.
Characteristic of fall in sarcopenic patients at the National Geriatric Hospital
Objective: to describe the characteristic of falls in sarcopenic patients at National Geriatric Hospital. Method: The study is a cross-sectional descriptive study. Inpatients and outpatients at National Geriatric Hospital excepted for Emergency and Stroke departments, Intensive care unit. The research was conducted from July to October 2022. Results: Mean age 75.68±8.20, 78.2% female. 64 (21.8%) participants reported at least 1 fall in the previous 12 months and 42.9% of participants had a high risk of fall. The majority of falls occurred at home and in the house or bedroom (40%). Conclusion: Patients with sarcopenia have a high prevalence of falls and a high risk of falls. Fall risk assessment and implementation of fall prevention should be carried out in everyday practice.
Characteristics of falls in older patients with overweight and obesity
Objectives: To assess characteristics of falls and associations with general characteristics among older people with overweight and obesity. Subjects and Methods: A cross-sectional study on 233 older patients with overweight and obesity examined and treated at National Geriatric Hospital from January to May 2023. Fall characteristics, general information and classification of obesity were collected by interviewing using a questionnaire. Results: Of the total 220 participants, the proportion of patients with falls in the last 12 months was 16.7%. 46.2% of participants have recurrent falls. The percentage of fall injury and fall that required hospitalization were 69.2% and 5.1%, respectively. Falls inside the house/ bedroom account for the highest rate at 12%. Slips and falls accounted for the highest proportion in the circumstances of falls (6.9%) and loss of balance (4.3%). The group of subjects ≥ 75 years old had a higher rate of falls (69.2%) compared with the group of subjects aged 65-74 years (30.8%) (p<0.05). Conclusion: 1 out of 6 elderly people who are overweight or obese has had a fall in the past 12 months. Our results highlighted that falls are related to advanced age among this population.
Physical activity levels among older sarcopenic patients: a cross-sectional study
Aims: The aims of the study were to evaluate the physical activity levels among older sarcopenic patients. Method: A cross-sectional study was conducted among sarcopenic patients aged ≥60 in Hanoi, Vietnam, from March 2022 to October 2022. Sarcopenia was defined by the criteria proposed by the Asian Working Group for Sarcopenia (AWGS 2019). Physical activity levels (low, moderate and high) were assessed by using the IPAQ-SF instrument. Results: Among 295 sarcopenic patients, the mean age was 75.7 ± 8.2, 78% female. Patients with low physical activity levels accounted for 61.4% (mean: 187.03±198.6 MET minutes a week). In multivariate logistic regression, severe sarcopenia (adjusted OR 1.94, 95%CI: 1.05 – 3.57) was associated with higher odd ratio for having low physical activity level. Conclusion: The rate of low physical activity levels in older sarcopenic patients was high. Further studies are needed to examine the effect of physical exercise in this population.
Understanding ST equivalents on ECG part II
In reality, many acutemyocardial infarction patients with ST deviations observed in other conditions in which the characteristics of these ECG do not meet the criteria of STEMI. They are called: ST equivalents. STEMI equivalents represent coronary occlusion without meeting the traditional STE criteria and are equally important to recognize in a timely fashion. Emergency physicians must know to involve interventional cardiologists for patients with dynamic ECG changes, persistent ischemic chest pain, hemodynamic instability, and STEMI equivalent patterns that require emergent PCI to minimize morbidity and mortality. This is the reason why we would like to propose this review to present some common ST equivalents for physicians and cardiologists to apply to the clinical practice. These are: de Winter ST/T complex, Wellens syndromes, ST-elevation in lead AVR, LBBB with Sgarbossa criteria, isolated posterior MI, T waves upright in V1. This review is the part two of the topic.
Associated factors with health-related quality of life in osteoporosis patients
Objective: To assess the association between health- related quality of life and related factors in osteoporosis patients at the National Geriatric Hospital. Method: The study is cross-sectional descriptive study. A total of 141 osteoporosis patients aged from 60 years was recruited. Data were collected using the EQ-5D-5L questionnaire, general information and geriatric syndromes. Results: The mean of quality of life were more likely to be higher in the patients who: lower age patient (p<0.001), good marital status (p<0.05), good sleep quality (p<0.001) , minimal depression (p<0.001), independence in function status (p<0.001), normal nutrition status (p<0.001) and low risk fall (p<0.001). Conclusion: The proportion of patients with osteoporosis who have decreased quality of life is still increasing. Appropriate care aims to help patients develop effective strategies for accepting the disease and coping with it.
Association between geriatric characteristics and falls in older patients with overweight and obesity
Objectives: To assess geriatric characteristics and associations with falls among older people with overweight and obesity. Subjects and Methods: A cross- sectional study on 233 older patients with overweight and obesity examined and treated at National Geriatric Hospital from January to May 2023. Falls in the last 12 months and geriatric characteristics were collected by interviewing using a questionnaire. Results: Of the total 233 participants, the proportion of patients with falls in the last 12 months was 16.7%. The majority of study participants had 2 or more diseases, accounting for 94%. Prevalence of polypharmacy was 63.1%. The rate of ADL impairment was 17.6% and IADL impairment was 16.7%. There was 75.5% of study participants had a high likelihood of depression. The majority of study participants rated quality of life at a high and very high level. There is a statistically significant difference in the rate of falls in the last 12 months between the dependent group and the non-dependent group in activities daily living ADL and IADL (p<0.05). Conclusion: Multi- comorbidities, polypharmacy and depression are the common geriatric syndromes in overweight and obese elderly people. Fall in the past 12 months associated with activities daily living ADL and IADL.
Evaluation of dyslipidemia and atherogenic index in the newly diagnosed prediabetic subjects in Quang Binh province
Dyslipidemia is associated with an increased risk of cardiovascular disease. Vascular complications emerge even in pre- diabetes [3]. Many studies have found that dyslipidemia commonly precedes the onset of type 2 diabetes and that this disorder resembles insulin resistance syndrome. Objectives: 1. Determine the rate of newly diagnosed prediabetes in the community in Quang Binh province; 2. Evaluate the dyslipidemia and atherogenic index in the newly diagnosed prediabetes . Methods: A cross-sectional and descriptive design. Employing a two-stage cluster sampling method, we recruited non- diabetic/pre-diabetic adults (ages range from 20 - 60 years) from Quang Binh province. Prediabetes and dyslipidemia were defined according to international Results: Newly diagnosed prediabetes was detected in 35% of participants, and diabetes was 14.8% (p = 0.01) in 1206 study subjects. In the prediabetes group, there were 27.5% with high TC, 41.7% with high TG, 37.9% with high LDL-C levels, 41.8% with low HDL-C levels, and 47.5% high non-HDL-C levels. 9.6% of participants with prediabetes had a ratio of TG/HDL-C with the risk value, LDL-C/HDL-C (57.8%), and TC/HDL-C (41.4%). HbA1C level is significantly associated with HDL-C, non-HDL-C, TG, and LDL-C/HDL-C. Conclusion: Prevalence of prediabetes very high in population at Quang Binh Province. The dyslipidemia (high TG and low HDL-C levels) and abnormal atherogenic index (high Non HDL.C, high TC/HDL.C and high LDL.C/HDL.C) are also risk factors for prediabetic subjects in Central Vietnam .
Evaluation of blood glucose control and risk factors in type 2 diabetic outpatients at Hospital of Endocrinology
The study was conducted on 304 outpatients diagnosed with type 2 diabetes at Endocrine Hospital of Thanh Hoa Province from April 2021 to October 2021. Of these 304 patients, 152 patients (50%) were male and 152 patients (50%) were female . Patients in our study were aged from 30 to 90 years old, of which the age group from 50-70 accounted for a high percentage (58.9%), their education level varied from illiteacy to undergraduate and postgraduate. The rate of overweight and obesity in the both male and female patients was high. In which, the proportions of overweight in both sexes, class 1 obesity and class 2 obesity were 30.2%, 18.1%, and 1%, respectively. The satisfactory result rates of blood glucose control according to the guideline of the Vietnam Association of Diabetes and Endocrinology in 2018 were 39.1% and 50% for fasting blood glucose and HbA1C criteria, respectively. The rates of blood lipid control according to the NCEP ATP III standard for triglycerides, LDL and HDL were 42.4%, 35.9% and 36.2%, respectively. Patients with hypertension accounted for 61.8% (188 patients), 59% of which reached the goal of blood pressure treatment according to the criteria of the Vietnam Heart Association (2015).